NPIMap

Organization Active NPI

Pinnacle Enterprises PC

Doing business as Phenix City Childrens & Family Clinic

  • General Practice Physician
  • Phenix City, AL
National Provider Identifier
1447374640
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
7157 Issued in AL
Legal business name
PINNACLE ENTERPRISES PC
Doing business as
Phenix City Childrens & Family Clinic
Practice address
3700 S Railroad St Ste a
Phenix City, AL 36867-2994
Phone
(334) 664-0463
Fax
(334) 664-0466
NPI assigned
Mar 16, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ritu Chandra, M.D.NPI 1003890849
Title
Physician
Phone
(334) 664-0463

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Clinical Psychologist 103TC0700X
Anesthesiology Physician 207L00000X 26975 AL
Family Medicine Physician 207Q00000X 7157 AL
Pediatrics Physician 208000000X 26862 AL
General Practice Physician 208D00000X 7157 AL Primary

Addresses

Primary practice location

3700 S Railroad St Ste a
Phenix City, AL 36867-2994

Mailing address

3700 S Railroad St Ste a
Phenix City, AL 36867-2994
Phone (334) 664-0463

Other identifiers 1

IdentifierTypeStateIssuer
529930990MedicaidAL

Other names 2

  • Phenix City Childrens & Family Clinic Doing business as
  • Preferred Medical Group Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120427000473 AL Part B Supplier - Clinic/Group Practice 4486816048 Receives reassigned benefits from 24 practitioners
Practice locations: Auburn, AL; Fort Mitchell, AL; Phenix City, AL
O20250506002286 GA Part B Supplier - Clinic/Group Practice 4486816048 Receives reassigned benefits from 4 practitioners
Practice locations: Columbus, GA

National Provider Directory

National Provider Directory

Locations

318 Samford Village Ct
Auburn, AL 36830

318 Samford Village Ct
#100
Auburn, AL 36830
Phone (334) 664-0463

2 Gilmore Rd
Fort Mitchell, AL 36856
Phone (334) 664-0463

3700 S Railroad St
Phenix City, AL 36867
Phone (334) 664-0463

3700 S Railroad St
Ste F
Phenix City, AL 36867

101 Enterprise Ct
Columbus, GA 31904
Phone (334) 664-0463

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1447374640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 S RAILROAD ST STE A",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368672994",
            "telephone_number": "334-664-0463",
            "fax_number": "334-664-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 S RAILROAD ST STE A",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368672994",
            "telephone_number": "334-664-0463",
            "fax_number": "334-664-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE ENTERPRISES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CHANDRA",
        "authorized_official_first_name": "RITU",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "334-664-0463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AL",
            "license": "26975",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "7157",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "26862",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "7157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529930990",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phenix City Childrens & Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Preferred Medical Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phenix City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.